Utilization Review Coordinator jobs in Racine, WI

Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Coordinator (UR)
  • LAKE BEHAVIORAL HOSPITAL
  • Waukegan, IL OTHER
  • Job Details

    Job Location:    Lake Behavioral Hospital - Waukegan, IL
    Position Type:    Full Time
    Salary Range:    $53,000.00 Salary
    Job Shift:    Day

    Description

    JOIN OUR TEAM AS A Utilization Review Coordinator

     

    Your Work Matters How will you make a difference?

     

    The Utilization Review (UR) Coordinator is responsible for contacting external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay as well as assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning. The UR Coordinator is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team. The UR Coordinator advocates for the patient’s access to services during treatment team meetings and through individual physician contact. The UR Coordinator chairs the treatment team meetings and completes medical necessity reviews as indicated.

     

    Monday – Friday 7:30am – 4:00pm

     

    Your Experience Matters What we’re looking for:

     

    • Education & Education:  Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master’s degree preferred.
    • Experience: A minimum of two (2) years’ experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, discharge planning, utilization management, and/or case management.

     

    Your Care Matters What we provide for our team:

     

    • 401(k) matching
    • Health insurance
    • 100% company-paid life insurance coverage up to 2x your annual salary
    • Vision insurance
    • Dental insurance
    • 100% company-paid long term disability insurance
    • Paid time off
    • Paid holidays
    • Cafeteria on site discounted meals
    • Employee engagement events
    • Employee assistance program
    • Employee recognition program
    • Free parking

    What sets us apart:

    • Career & training development opportunities
    • Dynamic and inclusive work environment
    • Engaged management team dedicated to your success
    • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

     

    Disclaimer: Benefits are subject to change at the discretion of Lake Behavioral Hospital.

     

    Compensation:

    This is a Full-Time role and the expected compensation range for this role is based upon experience. We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Utilization Review Coordinator.

     

    Get to know us Outstanding Care, Compassionate People, Unparalleled Service

     

    Discover a fulfilling career at Lake Behavioral Hospital (LBH)!

     

    We are a 161-bed acute care facility located in Waukegan, IL and has been providing mental health treatment to the community and the state of Illinois since 2018. We are dedicated to offering services to meet the ever-changing emotion and behavioral healthcare needs of adolescents, adults, and their families. We offer specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness and we are committed to help people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses and support staff are here to create an atmosphere of health, hope, and healing.

     

    Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.

     

    • To learn more about LBH, visit us at: https://www.lakebehavioralhospital.com/

     

    TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

    Individuals Maintaining Positive Attitude and Commitment To Service

     

    ____________________________________________________________

    At Lake Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

    Qualifications


  • 1 Month Ago

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Administrative Assistant for Utilization Review
  • LAKE BEHAVIORAL HOSPITAL
  • Waukegan, IL OTHER
  • Job Details Job Location: Lake Behavioral Hospital - Waukegan, IL Position Type: Full-Time/Part-Time Salary Range: $19.00 - $26.00 Hourly Job Shift: Day DescriptionJOIN OUR TEAM AS A Administrative As...
  • 18 Days Ago

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Utilization Review Specialist - Remote
  • Waukegan Hospital Corporation
  • Waukegan, IL FULL_TIME
  • The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts ...
  • 13 Days Ago

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Utilization Review Specialist - Remote
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts ...
  • 15 Days Ago

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Utilization Review Specialist - Remote
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts ...
  • 15 Days Ago

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Director, Case Management and Utilization Review
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • Responsible for providing the overall leadership, management & direction of Case Management operations and staff, and for producing successful outcomes and results. Directs and implements case managem...
  • 1 Month Ago

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0 Utilization Review Coordinator jobs found in Racine, WI area

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Bilingual CLTS Support and Service Coordinator
  • Curative Care
  • Milwaukee, WI
  • Love where you work! Are you searching for a job where you look forward to each day's challenges and rewards? At Curativ...
  • 4/25/2024 12:00:00 AM

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Senior Plumbing Engineer
  • kW Mission Critical Engineering
  • Milwaukee, WI
  • **Milwaukee, WI Office** **Senior Plumbing Engineer** ****Who We Are:**** Great people. Great places. Great projects. kW...
  • 4/25/2024 12:00:00 AM

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Fitness Coordinator
  • Quad/Graphics
  • Milwaukee, WI
  • **Fitness Coordinator** **Job ID** 21802 **Date posted** Feb. 24, 2022 **Location** Milwaukee, Wisconsin **Full Time / P...
  • 4/24/2024 12:00:00 AM

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Assistant Store Leader
  • Pick 'n Save
  • Milwaukee, WI
  • Job Description Learn the operations of all departments and the duties of store management; share responsibility for sto...
  • 4/23/2024 12:00:00 AM

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Office Administrator
  • Nexus Solutions
  • Milwaukee, WI
  • In this position, you are responsible for a variety of administrative responsibilities such as overseeing a productive o...
  • 4/23/2024 12:00:00 AM

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Administrative Assistant - Union Grove WI
  • VetJobs
  • Union Grove, WI
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/22/2024 12:00:00 AM

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Support & Service Coordinator
  • Curative Care
  • Milwaukee, WI
  • Love where you work! Are you searching for a job where you look forward to each day's challenges and rewards? At Curativ...
  • 4/22/2024 12:00:00 AM

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Support & Service Coordinator
  • Curative Care
  • Milwaukee, WI
  • Love where you work! Are you searching for a job where you look forward to each day's challenges and rewards? At Curativ...
  • 4/21/2024 12:00:00 AM

Racine (/rəˈsiːn/ rə-SEEN) is a city in and the county seat of Racine County, Wisconsin, United States. It is located on the shore of Lake Michigan at the mouth of the Root River. Racine is located 22 miles south of Milwaukee. As of the 2010 U.S. census, the city had a population of 78,860, making it the fifth-largest city in Wisconsin. Its median home price of $103,625 makes it one of the most affordable cities in Wisconsin to buy a home. In January 2017, it was rated "the most affordable place to live in the world" by the Demographia International Housing Affordability survey. Racine is th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$78,530 to $97,278
Racine, Wisconsin area prices
were up 1.8% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020